Bilateral Locked Posterior Fracture-Dislocations of the Shoulders Following a Seizure

• DOI: 10.2106/jbjs.cc.24.00569
• Publication Date: 2025-04-17T18:00:27Z
• Authors: Diane Ghanem; Jayden Simo; Henry Fox; Daniel Badin; Babar Shafiq
• Keywords: Avascular Necrosis

Case: A 34-year-old man presented with bilateral locked posterior shoulder dislocations associated proximal humerus fractures secondary to a tonic-clonic seizure. The patient underwent open reduction and internal fixation of both shoulders. At 1 year postoperatively, the exhibited near-complete recovery function no pain, excellent radiographic outcomes, evidence early avascular necrosis (AVN) or hardware complications. Conclusion: While this injury's sequelae can be devastating, an interdisciplinary approach may help optimize prompt stable facilitate earlier fracture healing rehabilitation progression, potentially contributing lower likelihood AVN.